Michael Younes
Foot & Ankle Surgery · Lancaster, PANPI 1760469688
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $21,800 of the $34,110 with a category attached, or 63.9%. International Life Sciences accounts for 61.8% of it on its own, with 24 other manufacturers making up the rest. Reporting peaked in 2024 at $18,168 and has fallen 89.7% since, to $1,878 in 2025. Among foot & ankle surgery clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 110 payments — averaging $310.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- International Life Sciences$21K
- Novus Surgical Solutions LLC$3K
- Arthrex$3K
- Novus Surgical Consultants$3K
- Stryker$2K
- Organogenesis Inc.$321
- plus $1K from 19 others
What the payments were for
- Consulting fees$21,80064%
- Travel & lodging$5,85217%
- Food & beverage$5,25815%
- Education$1,2004%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| International Life Sciences | 13 | $21,085 |
| Novus Surgical Solutions LLC | 7 | $3,434 |
| Arthrex | 11 | $3,074 |
| Novus Surgical Consultants | 18 | $2,517 |
| Stryker(2 entities) | 25 | $2,325 |
| Organogenesis Inc. | 7 | $321 |
| Zimmer Biomet | 2 | $186 |
| Averitas Pharma Inc. | 3 | $183 |
| GRT US Holding, Inc. | 3 | $168 |
| Abbott | 1 | $142 |
| Trimed, Inc. | 1 | $114 |
| Smith+Nephew | 4 | $97 |
| Merck | 1 | $94 |
| Exactech, Inc. | 1 | $80 |
| Aroa Biosurgery Incorporated | 1 | $63 |
| Novastep Inc. | 2 | $53 |
| Heron Therapeutics, Inc. | 1 | $33 |
| Kowa Pharmaceuticals America, Inc. | 2 | $32 |
| Vertex | 1 | $23 |
| Alfasigma USA, Inc. | 1 | $16 |
| Bioventus LLC | 1 | $15 |
| Treace Medical Concepts, Inc. | 1 | $15 |
| Paragon 28, Inc. | 1 | $15 |
| Pfizer | 1 | $14 |
| Zyla Life Sciences, Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- FLEXBAND$20,397
- AUGMENT INJECTABLE$436
- VARIAX$330
- Qutenza$250
- CLAW II$168
- ORTHOLOC$165
- ORTHOLOC 2 LAPIFUSE$161
- HOFFMANN$154
- ALLOPURE$150
- PROCLAIM$142
- Nextremity InCore$141
- DISTAL EXTREMITIES IMPLANTS SOFT TISSUE IB LIGAMENT AUGMENTATION$125
- 7 X 23MM CITRELOCK IMPLANT$118
- Apligraf$117
How this compares
$34,110 in reported general payments places this provider in the 90th percentile of 575 foot & ankle surgery providers in Pennsylvania.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 92 | $1,010 |
| Ketoconazole | 14 | $434 |
| Cephalexin | 19 | $394 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $35 |
| Meloxicam | 11 | $33 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Lancaster
- Thomas ShermanLancaster$34K
- Darren BarbacciLancaster$20K
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.6M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.